On September 12, 2022 Aptose Biosciences Inc. ("Aptose" or the "Company") (NASDAQ: APTO, TSX: APS), a clinical-stage precision oncology company developing highly differentiated oral kinase inhibitors to treat hematologic malignancies, reported the G3 formulation of luxeptinib, designed for rapid and efficient absorption, demonstrates approximately an 18-fold improvement in oral bioavailability relative to the original G1 formulation, and that Aptose plans to move forward with the development of the G3 formulation of luxeptinib to determine if it can achieve desired exposures and deliver clinical responses while continuing to demonstrate a favorable safety profile (Press release, Aptose Biosciences, SEP 12, 2022, View Source [SID1234619410]).
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The original G1 formulation was found to deliver suboptimal absorption, limiting the effectiveness of luxeptinib when administered to patients with relapsed/refractory (R/R) acute myeloid leukemia (AML) and R/R B-cell malignancies during two Phase 1 a/b clinical trials.
The new G3 formulation, designed for more efficient absorption that could lead to greater accumulation and higher steady-state exposure levels, now has been tested as a single dose in 15 patients in the ongoing clinical trials. Initial computational modeling of the pharmacokinetic (PK) properties of G3 predicts that plasma steady-state exposure achieved with continuous dosing of 50 mg of G3 (every 12 hours, Q12h) is equivalent to that of 900 mg of G1 Q12h, representing up to an 18-fold improvement in bioavailability with G3.
Aptose plans to amend the protocol of its existing Phase 1 a/b clinical trial in relapsed/refractory AML patients for submission to the FDA to incorporate continuous dosing and dose escalation of G3 into the trial. Enrollment in the Phase 1 a/b study in B-cell malignancies is paused pending favorable results from continuous dosing in the AML study.
"The G3 formulation of luxeptinib has shown a significant improvement in bioavailability and the potential for greater absorption, and we are eager to move forward with continuous dosing in our AML trial," said William G. Rice, Ph.D., Chairman, President, and Chief Executive Officer of Aptose. "The original G1 formulation of luxeptinib delivered a complete remission (CR) in one AML patient that safely achieved a particularly high plasma steady-state exposure, and we are hopeful the new G3 formulation will enable patients to receive greater exposures and benefit from treatment with Lux."
"AML is a heterogeneous disease characterized by a multitude of gene mutations, making the treatment of AML quite diverse and challenging. Our lead clinical compound, HM43239, has demonstrated clinical responses in multiple genetically defined target populations of AML. We are pleased to have two well-tolerated hematology drugs with the potential to help patients in their fight against AML," continued Dr. Rice.